Missouri Division of Behavioral HealthChildren and Youth Psychiatric Services

Melissa Smyser MSW, LMSW

Terminology

• Department of Mental Health (DMH)

• Division of Behavioral Health (DBH)

• Community Mental Health Center (CMHC)

• Administrative Agent (AA)

• Community Psychiatric Rehabilitation (CPR)

• Transitional Age Youth (TAY)

• Daily Living Functional Assessment (DLA 20©)

Who, What and How of DBH?

• Who are we? ▫ Formerly the Division of Alcohol and Drug Abuse and Division of Comprehensive Psychiatric Services

• What is the function?▫ Assure the availability of prevention, evaluation,

treatment, and rehabilitation services for individuals and families

• How is it done?▫ Community based services contracted with DBH

in 25 service areas, and▫ DMH state operated children’s facility - Hawthorn

Community Based Services

• Community Mental Health Centers (Administrative Agents) and/or Affiliates

▫ 21 CMHCs and 2 Affiliates

• Entry and exit point for Missouri’s public mental health system

• Certified and Nationally Accredited to provide:

▫ Community Psychiatric Rehabilitation (CPR)

▫ 24 Crisis Response

▫ Outpatient Mental Health

DBH Designated Service Areas

Omk

03/06

What is Community Psychiatric

Rehabilitation (CPR)?

Person-centered approach emphasizing individual and family choice

Flexible community based services and supports

Builds on existing

community resources

Utilizes family/natural

support systems

Promotes Independence

Youth Guided Family Driven

More about CPR…

• Established in MO in 1989

• Funded through both DMH general revenue and MO HealthNet (Medicaid)

• Rehabilitation option

▫ Missouri State Medicaid Plan

• Provides a range of mental health services to adults, transitional age youth, children and families

And what exactly does it do?

• Promote recovery/resiliency

• Maximize independent functioning

• inpatient psychiatric hospitalizations Out of home placements

• Increase interagency coordination and collaboration

▫ Includes all aspects of treatment

Core CPR Services for Children/Youth

• Evaluation/Assessment*

• Community Support*

• Crisis Intervention*

• Medication Services

• Physician Consultation

• Metabolic Screening

*Designated services that can be provided in a school setting

Children/Youth Specific Services

• Assertive Community Treatment (TAY)

• Intensive CPR*

▫ Treatment Family Homes

▫ Professional Parent Homes

▫ Evidence Based Practice*

▫ Inpatient Diversion

• Family Support*

• Family Assistance*

• Youth Day Treatment

• Individual Therapy*

• Group Therapy*

• Treatment Planning*

• Integrated Treatment for Co-Occurring Disorders*

▫ Individual Counseling

▫ Group Counseling

▫ Group Education

▫ Assessment Supplement

*Designated services that can be provided in a school setting

Who is eligible?

• Children/Youth living with a serious emotional disturbance

▫ Substantial impairment in ability to function at a developmentally appropriate level

CPR Eligibility

• Diagnosis▫ Schizophrenia Spectrum

Psychotic Disorders

▫ Bipolar disorders ▫ Major Depressive disorders▫ Obsessive-Compulsive Disorder▫ Post Traumatic Stress Disorder▫ Anxiety disorders ▫ Reactive Attachment Disorder

• Qualifying DLA-20© Score w/diagnosis▫ Assesses what daily living areas are impacted

• DMH’s only children’s psychiatric hospital

• Acute psychiatric inpatient services

▫ Children’s Unit

6-12 years old

▫ Adolescent Unit

13-18 years old

• Residential treatment services

▫ 13-17 years old

Hawthorn Children’s Hospital

More Information….

• Psychiatric Services

▫ Community Mental Health Centers

http://dmh.mo.gov/mentalillness/helpinfo/adminagents.html

▫ Access to Crisis Intervention – 24/7 hotline

http://dmh.mo.gov/mentalillness/progs/acimap.html

DBH Children’s Team Contact Information

Director of Children’s Services

Connie Cahalan (573) 526-8197

Chief of Children’s Community OperationsAmy Stevens – Western Region (816) 482-5725

Al Eason – Eastern Region (314) 877-0372

Melodie York – Southeastern Region (573) 218-6889

Melissa Smyser – Central Region (573) 522-6187

Questions